Lumen Pediatric Therapy, LLC
NPI #1407573942 in Saint Clair Shores, Michigan
Provider Information
- NPI Number
- 1407573942
- Entity Type
- Organization
- Organization Name
- Lumen Pediatric Therapy, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Oct 25, 2022
- Last Updated
- Feb 11, 2025
Practice Location
- Address
- 26210 HARPER AVE STE 200
- State
- Michigan
- ZIP Code
- 48081-2203
- Phone
- (888) 485-8636
Authorized Official
- Name
- NICHOLLE MEHR
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (888) 485-8636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Occupational Therapist |
| Speech-Language Pathologist |
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